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A step-by-step process for an accurate submission

Date:March 18, 2010
Time:12 noon to 1:30 p.m. Central Time
Course fee:$199
Presented by:Rhonda Puder CMC, CMIS, CMOM

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Find out how the Medicare Provider Enrollment, Chain and Ownership System (PECOS) works and get news on the recently deadline extension.

This session will address specific issues of managed care physician credentialing. Learn the rationale and process for successful registration. Receive step-by-step instruction for applying with a Managed Care Organization. Watch for potential problems with registration errors, including denials for services. Includes an overview of credentialing organizations and marketing with MCOs.

  • Guidance on how to get credentialed or re-credentialed
  • What types of provider/facilities are eligible for credentialing
  • Different types of accrediting organizations and what they look for
  • Find out the latest news on claim edits
  • Amendments to payment files that were issued to Medicare contractors based on the 2010 Medicare Physician Fee Schedule
  • Potential problem areas and how to overcome them
  • Professional standards of direct medical care
  • Using the CMS-855 family of forms
  • How to review and update your existing enrollment information using Medicare's PECOS online interface


About the Presenter

A former Group Operations Manager, Rhonda has more than 25 years of experience in medical coding, billing, personnel and office management. Rhonda has worked for large insurance companies in medical payables, claims review and policy underwriting. She also has expertise in Medicare, Medicaid and Texas Workers’ compensation. Her experience in the consulting field is diversified and includes medical start-up involving electronic billing, information systems, contract negotiation and new provider services.




Certified Medical Coder (CMC) Certified Medical Insurance Specialist (CMIS) Certified Medical Office Manager (CMOM)

More than 14,882 PMI Certifications have been earned to date.

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